| NPI | 1982825337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1239) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 342) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 9892) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-11-26 |